‘For what little time there might be left to them, they frolicked’

 



Alan Bennett’s Killing Time is a Covid fairy tale. It’s set in Hill Topp House (with two pp’s) a council home where residents pay a premium, the cuisine is ‘not unadventurous’ and a glass of dry sherry may be served on special occasions. The worst fate is probably not death but to be sent down the hill to live in the ‘sink’ council home, Low Moor.  Mrs McBryde, the refined, light-fingered, care home manager doesn’t hesitate to use the threat of Low Moor to keep her residents in line, get rid of anyone whose name seems common (Audrey is out, Amelia in) or whose relatives became unable to pay the premium.

Then the pandemic strikes and the Hill Topp table top sale must be cancelled (though Cheltenham races need not). When Mrs McBryde develops Covid symptoms and is taken to hospital, she’s so sure that the virus belongs only in places like Low Moor (and will only affect ‘old people and the occasional Asian’) that her last conversations with the doctor are spent explaining why it isn’t fair. ‘Incipient dementia’ he notes on her record. There’s no ventilator available for her and she dies in the hospital corridor.

Bennett’s novella doesn’t express the anguish of actual death. Today I was reading the testimony of a former nurse, the widow of a care home manager who killed himself in the pandemic, traumatised by the experience of watching his residents die, gasping for breath, because he had no oxygen to give them. The local GPs would not come into his care home, because of the risk of infection; the wi-fi necessary for virtual examination didn’t reach the sick residents’ bedrooms so they couldn’t be examined by the GP, even remotely – but only the GPs could prescribe oxygen.

His widow said, ‘To watch these patients, they were gasping for oxygen and I couldn’t give them any relief as a nurse. I found that incredibly hard. For Vernon to watch it was horrendous - because we could not give them any relief.’ (https://www.itv.com/news/2021-01-20/widow-of-care-home-manager-who-took-his-own-life-the-only-reason-this-happened-was-because-of-covid)

Killing Time magicks away care home managers’ struggles to get PPE and test kits; to understand and comply with a barrage of ill-informed government guidance and diktats from public health officials;  to struggle with the frequent shortages of palliative care medication and the absence of trained personnel to administer it. Bennett’s High Topp residents don’t suffer the confusion and distress of feeling abandoned by those they love; they are not isolated in their rooms for 14 days at a time either because someone else has tested positive or because they have been so reckless as to leave the home to attend a hospital appointment or meet a family member.

Instead, once Mrs McBryde is gone and Zulema, the single staff member, has also been hospitalised, the residents of Hill Topp begin managing their own lives. They build a glorious fire in the grounds and keep it going night and day as they burn fallen branches and broken chairs, the furniture from emptied rooms and the walking sticks, shoes, flat caps and hearing aids of the dead.

Because they do die. But they do it off stage, and no one mourns them when they’re gone. Meanwhile the survivors eat curries delivered from a local convenience store, make masks out of ball gowns or old vests, discuss the new situation with sublime ignorance and enjoy themselves. Bennet describes their new community life, without the genteel tyranny of Mrs McBryde, as having the flavour of ‘embarkation leave’.

I wish it had been like that. Instead, I’ve been re-reading The Holding Pen in preparation for Module 6 of the Covid Inquiry. This is a booklet which I put together over a long weekend in May 2021, feeling great distress and anger. It was a period when general pandemic restrictions had been lifted – for all except people in care homes. For them a trip out, even a walk in the park in lovely spring weather or a visit home to family could mean 14 days enforced isolation.

It was hard on young and old alike. Jenny described her 42-year-old daughter with learning difficulties who had not been allowed to visit her family at home for 18months yet had also endured two 14-day periods of isolation, first when a PCR test was lost and secondly when she caught Covid from a staff member:

She has become very anxious. Feel she is in prison and scared of all the rules. I have been allowed to visit her outside now but she's anxious the whole time. She desperately needs to be able to come home. But I just cannot put her through another 14 days in her bedroom. Not even the house and garden like other people, but just a bedroom. It does feel like imprisonment.

For Linda’s 100-year-old mother it was even worse:

My mum was used to going out of the care home at least three times a week and seeing her children, grandchildren and great grandchildren […] From March until Christmas, the only time she left her care home was to go to hospital for two days and then for check-up. Visits varied from visiting her on a decking shouting through a double-glazed door, window visits, to no visiting at all. Then half hour visits in a designated room with full PPE. As Mum is very deaf all these were horrendous.

Mum said it was worse than being a prisoner. Prisoners got visits and had access to fresh air. During this time the home had three positive tests resulting in three lots of 14 days isolation when mum had no exercise, no fresh air, no company, no stimulation. Prisons are told no more than 72 hours isolation.

At Christmas, Mum was desperate to go outside and see grandchildren and great grandchildren. As Mum was of sound mind, I argued to bring her home. Because of further lockdown, she was only allowed a day at home. The price she paid was a further 10 days in isolation. In March, she was 100 years old. Again, I argued, bring her home so we could celebrate this special birthday. She came home for six days. In return, she had to isolate a further 14 days.

She has been isolated for a total of 65 days in 15 months. During this last period, she became very depressed, ringing us on her iPad, crying, refusing to talk because she had nothing to talk about. Wishing she could have fresh air and feel the sun on her face.

Aged 100 she too would have liked to 'frolic'. 

 

UK - Covid Inquiry Public Hearings for Module 6 (care homes) will take place from June 30th - July 30th 2025. It's still possible to upload your own experience to the Inquiry's listening exercise Every Story Matters 

 

 

 

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